Cerebellar Stroke - Oren Zarif - Cerebellar Stroke
Although cerebellar stroke is not as severe as other types of cerebral vascular disease, its symptoms may be disabling. The most important aspect of the treatment is preventing further neurological deterioration. Patients who have suffered a cerebellar stroke should undergo a neurologic intensive care unit (NICU) stay for 72-96 hours under close observation of a physician. Despite the difficulties of treating cerebellar vascular disease, patients are usually stable and will likely recover.
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While strokes are devastating, many survivors understand how their life can be completely changed by a devastating event. Strokes damage the brain and cause physical, mental, and cognitive impairments. Cerebellar stroke, a rare type of stroke, can cause loss of coordination and other deficits. Fortunately, there are treatments that can help patients with cerebellar vascular disease recover from their strokes and regain smooth, coordinated motor functions.
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One study has linked the development of mood disorders after cerebellar vascular disease. While a small subset of post-stroke patients may develop mood disorders, the majority do not have any psychiatric history. The patient will be assessed by neuroimaging and will continue to be followed closely. A study like this will provide valuable information for patients and their caregivers. Further research into the role of cerebellar pathology in psychiatric presentation will be necessary to clarify its causal role.
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While the symptoms of cerebellar vascular disease may be similar to those of a cerebral hemorrhage or a cerebral infarction, the underlying cause of the symptoms is less clear. It is critical to recognize the symptoms of cerebellar vascular disease early to avoid futile intervention. The patient's condition should be monitored closely and appropriate treatment should be instituted as quickly as possible. A timely diagnosis and neurosurgical evacuation are critical for the recovery of a patient.
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Patients with cerebellar vascular disease may experience a variety of symptoms and require specialized medical attention. Their symptoms are usually mild and non-specific compared to other types of stroke, so an accurate diagnosis is necessary. The doctor may recommend imaging tests to rule out bleeding and injury in the brain. In certain cases, an MRI will be the first treatment recommended. As the cerebellum is surrounded by bone at the back of the brain, an MRI is the best way to see it clearly.
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Some of the symptoms of cerebellar vascular disease include jerky movements, difficulty walking, double vision, and trouble speaking. In addition, patients may develop a rash, a tingling sensation, or a jerking sensation. Further, severe headaches and a tendency to veer to the right can be signs of a cerebellar vascular disease. However, the long-term complications of cerebellar vascular disease may necessitate long-term medical intervention.
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There are many subtypes of cerebellar vascular disease. The first was classified by the artery affected, and later studies suggested that it may be related to the occlusion of small arteries. In the meantime, there are no definitive criteria for identifying and treating cerebellar vascular diseases. A more reliable classification system is based on cerebellar topography. The following are the most common types of cerebellar infarcts.
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One complication of cerebellar vascular disease is reactive cerebral edema. Because the cerebellum is situated within a constrained cranial space, edema can obstruct the aqueducts or directly compress the brainstem. As a result, this condition has a very low prognosis. It is therefore critical that patients receive appropriate treatment. While some types of vascular surgery have excellent results, this is not always the only option for patients suffering from cerebellar stroke.
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Cerebellar ischemic strokes are generally categorized as hemorrhagic or ischemic. The main difference between the two types is the cause of ischemia. Ischemic strokes are caused by obstruction of the arteries leading to the cerebellum. Some of them may be caused by thromboembolic conditions and can travel from large vessels to small ones. In cerebellar ischemic strokes, arterial dissection is the cause.
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Although cerebellar ischemic stroke is a rare type of stroke, it accounts for approximately 3% of hemorrhagic and ischemic strokes. Because the symptoms of cerebellar stroke are so vague, standard clinical stroke scores may not be able to detect it in its early stages. Furthermore, there is no standard diagnostic scale for cerebellar stroke. It is important that a neurovascular surgeon be able to recognize cerebellar ischemic stroke symptoms as early as possible.
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A 56-year-old man became unresponsive and intubated at a fair. He was found to be comatose and was treated accordingly. A noncontrast head CT (HCT) was performed on him to rule out a vascular hematoma in the cerebellar hemisphere. An HCT showed effacement of the basal cisterns. He was transferred to the University of Iowa Hospitals and Clinics for further assessment.